Provider Demographics
NPI:1588701478
Name:HAYWARD, TROY ALAN (MS CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:ALAN
Last Name:HAYWARD
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-9700
Mailing Address - Country:US
Mailing Address - Phone:706-282-4461
Mailing Address - Fax:706-282-4416
Practice Address - Street 1:602 ELBERTA ST
Practice Address - Street 2:
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531-2102
Practice Address - Country:US
Practice Address - Phone:706-282-4461
Practice Address - Fax:706-282-4416
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005873235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist